Mr Douglas Nyenke, APRN, PMHNP-BC - Medicare Nurse Practitioner in Chicago, IL

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Mr Douglas Nyenke, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chicago, Illinois. His current practice location is 10406 S Western Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 857-4475.

Mr Douglas Nyenke is licensed to practice in Illinois (license number 209026907) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780399055.

Contact Information

Mr Douglas Nyenke, APRN, PMHNP-BC
10406 S Western Ave,
Chicago, IL 60643-2508
(312) 857-4475
(773) 666-7241

Map and Direction




Provider's Profile

Full NameMr Douglas Nyenke
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location10406 S Western Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780399055
  • Provider Enumeration Date: 01/20/2023
  • Last Update Date: 09/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8426414954
  • Enrollment ID: I20230525001013

Medical Identifiers

Medical identifiers for Mr Douglas Nyenke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780399055NPI-NPPES
1659135416OtherBEVERLY PSYCHIATRIC SERVICES LLC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209026907 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Douglas Nyenke allows following entities to bill medicare on his behalf.
Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747
Entity NameElemental Center Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033410477
PECOS PAC ID: 6305149196
Enrollment ID: O20160128001830
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451
Entity NameBeverly Psychiatric Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659135416
PECOS PAC ID: 8224576285
Enrollment ID: O20240821002853

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Douglas Nyenke is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Douglas Nyenke, APRN, PMHNP-BC
10406 S Western Ave,
Chicago, IL 60643-2508

Ph: (312) 857-4475		Mr Douglas Nyenke, APRN, PMHNP-BC
10406 S Western Ave,
Chicago, IL 60643-2508

Ph: (312) 857-4475

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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